A Specific Cystography Pattern Can Predict Postprostatectomy Incontinence

Annals of Surgical Oncology
I-Hung ShaoChun-Te Wu

Abstract

Postprostatectomy incontinence (PPI) is one of the most bothersome complications of radical prostatectomy. A postoperative image survey may better predict PPI than a preoperative survey. The aim of this study was to determine whether postoperative cystography bladder patterns can predict PPI at short- and long-term follow-up. In total, 180 patients who underwent robot-assisted radical prostatectomy (RARP) from September 2008 to September 2014, and who were followed for at least 6 months, were enrolled in this study. All patients underwent cystography within 2 weeks after RARP before Foley catheter removal, and all parameters were analyzed to evaluate the relationship with PPI at 1, 6, 12, and 24 months post-RARP. Patients were also divided into four bladder neck level groups, according to the relative position of the bladder neck to the pubic symphysis. A total of 119 patients were followed for at least 48 months after RARP. Cystography patterns were analyzed, including the downward bladder neck, bladder height, bladder width, height to width ratio, and bladder neck angle. A more downward bladder neck and a sharper bladder neck angle were significant predictors of PPI at 1, 6, 12, and 24 months after RARP. Patients with a large...Continue Reading

References

Jun 1, 1995·Journal of Biomechanics·M S Damaser, S L Lehman
May 1, 1998·Urologia Internationalis·M Van KampenL Baert
May 8, 2000·The Journal of Urology·B Guillonneau, G Vallancien
Jun 27, 2002·Current Urology Reports·András HoznekClément-Claude Abbou
Jun 26, 2004·BJU International·Laurent SalomonClaude C Abbou
Jul 15, 2009·BJU International·Francesco Rocco, Bernardo Rocco
Jul 18, 2014·Fukushima Journal of Medical Science·Tomohiko YanagidaYoshiyuki Kojima
Nov 8, 2014·Journal of Endourology·Gaudencio OlginD Duane Baldwin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.